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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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First-level appeals status
list item Find the outcome of first-level appeals, exclusively on SPOT.
list item Confirmation of appeal requests – use this tool for confirmation that appeal requests have been received by First Coast.
Modified: 10/7/2020
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for drug wastage not reported. Read to learn more about Medicare coverage guidance so you can document and submit claims for drugs and reporting wastage correctly.
When and how to file an appeal
list item When to file an appeal - Use this calculator to determine time limits for filing requests for all five levels of appeals.
list item How to appeal a claim - Learn about the five levels of appeals and how to begin the appeals process.
Locate the necessary forms to appeal claim decisions.
C2C Innovative Solutions, the Part A East Qualified Independent Contractor (QIC), has the authority to conduct reopenings on previously adjudicated unfavorable claims. Learn more about the QIC their voluntary appeals discussion demonstration.
Find the answers to common appeals-related questions.
Appeals contact information
Find phone numbers and addresses for appeals-related inquiries.
Learn more about overpayments with the following resources:
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Part A